| NPI | 1033498316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104232) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104232) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-03-17 |